Occupational Therapist Test Occupational Therapist 2 — Questions and Answers
Question 1: A patient with a traumatic brain injury has difficulty initiating tasks. Which occupational therapy intervention best addresses this deficit?
- External cueing strategies and structured routines (Correct answer)
- Intensive physical strengthening exercises
- Sensory deprivation therapy
- Medication management education
Correct answer: External cueing strategies and structured routines
External cueing and structured routines compensate for initiation deficits by providing the prompts the patient's brain no longer generates automatically.
Question 2: Which standardized assessment is most appropriate for evaluating a child's sensory processing patterns?
- Sensory Profile (SP-2) (Correct answer)
- Berg Balance Scale
- Montreal Cognitive Assessment
- Functional Independence Measure
Correct answer: Sensory Profile (SP-2)
The Sensory Profile 2 is a caregiver-report measure specifically designed to assess sensory processing in children across daily life contexts.
Question 3: An OT is working with an elderly client on fall prevention. Which home modification has the strongest evidence for reducing falls?
- Installing grab bars in the bathroom (Correct answer)
- Adding brighter light bulbs throughout the home
- Replacing all rugs with carpet
- Lowering all countertops
Correct answer: Installing grab bars in the bathroom
Grab bars in the bathroom have the strongest evidence base for preventing falls, particularly near the toilet and in the shower or tub.
Question 4: Under the Occupational Therapy Practice Framework (OTPF), which of the following is classified as an 'area of occupation'?
- Rest and sleep (Correct answer)
- Fine motor skills
- Visual perception
- Muscle strength
Correct answer: Rest and sleep
Rest and sleep is one of the nine areas of occupation in the OTPF; fine motor skills, visual perception, and muscle strength are client factors or performance skills.
Question 5: A child with autism spectrum disorder is hypersensitive to tactile input. Which sensory integration approach would an OT most likely use first?
- Gradual desensitization using a tactile hierarchy (Correct answer)
- Forced exposure to aversive textures
- Elimination of all tactile activities
- Proprioceptive loading before tactile tasks
Correct answer: Gradual desensitization using a tactile hierarchy
A tactile desensitization hierarchy gradually introduces tolerable textures, building the child's capacity to tolerate increasingly challenging tactile inputs.
Question 6: Which law mandates that public schools provide occupational therapy as a related service for eligible children with disabilities?
- Individuals with Disabilities Education Act (IDEA) (Correct answer)
- Americans with Disabilities Act (ADA)
- Section 504 of the Rehabilitation Act
- Fair Housing Act
Correct answer: Individuals with Disabilities Education Act (IDEA)
IDEA requires schools to provide related services, including OT, when they are necessary for a child with a disability to benefit from special education.
Question 7: A client with rheumatoid arthritis reports increased pain when opening jars. Which joint protection principle should the OT teach first?
- Use larger, stronger joints to perform the task (Correct answer)
- Avoid all jar-opening activities permanently
- Strengthen finger flexors through repetitive gripping
- Apply heat to the hands before opening jars
Correct answer: Use larger, stronger joints to perform the task
Joint protection principles for rheumatoid arthritis include using larger, more proximal joints to distribute force and reduce stress on small inflamed joints.
Occupational Therapist Test Occupational Therapist 2
A patient with a traumatic brain injury has difficulty initiating tasks.
Which occupational therapy intervention best addresses this deficit?